Medical school: UNIVERSITY OF ROCHESTER SCHOOL OF MEDICINE AND DENTISTRY
Graduated: 1987
NPI: 1114005568
Practice Locations (1)
HACKENSACK MERIDIAN HEALTH MEDICAL GROUP - SPECIALTY CARE PC
360 ESSEX ST
HACKENSACK, NJ 076018550
2013368686
Source: CMS National Downloadable File, September 2026.